Payers can have dozens of fee schedules that contain thousands of codes. Finding the right fee schedule can be a challenge and navigating the document can also prove time-consuming. Our Government Fee Schedule tool provides you access to fee schedules in a centralized location.

Empower your teams with Policy Reporter's payer documents library, change alerts, and reserach tools. 

Healthcare providers face numerous challenges in navigating the complex U.S. healthcare system:​

• Keeping up with evolving medical necessity criteria, coverage policies, and billing rules​
• Understanding and complying with diverse payer policies and prior authorization across commercial and government plans​
• Efficiently managing revenue cycle processes in a constantly changing reimbursement landscape​
• Ensuring patient access to necessary care while meeting payer requirements​
• Minimizing claim denials and optimizing reimbursement​

This causes challenges such as: ​

• Interpreting and applying complex payer policies consistently across the organization​
• Reducing administrative burden associated with prior authorizations and claim appeals​
• Staying current with frequent policy changes that impact reimbursement and patient care​
• Balancing compliance requirements with operational efficiency​
• Maximizing revenue while ensuring appropriate utilization of healthcare services​

Policy Reporter empowers healthcare providers to address these challenges by:​

• Delivering analyst-verified alerts for tracking policy changes customize to your specialties and payer mix​
• Simplifying access to up-to-date coverage criteria, prior authorization and reimbursement rules​
• Offering comprehensive research capabilities to comply with key contract and claims rules​
• Supporting efficient revenue cycle management with targeted insights and tools​

Our solutions reduce administrative burden, streamline reimbursement-related research, and empower your entire team to make informed decisions that improve patient care and financial performance.​​

Doctors are driving without gauges and running on empty…

Care variance and high costs are widespread, but doctors haven’t been given any tools to help them make better decisions.

CareGauge gives physicians a real-time view of how their care decisions for a particular patient compare to locally benchmarked patients with that same condition.

Physicians can see cost and care utilization insights on length of stay, imaging, labs, medications, procedures, and more to help them deliver the best care to their patients.

How does it work?

• Integrate seamlessly into your EHR
• Source and analyze treatment and cost data from your facility
• Present instant insight into care decisions
• Empower physicians to provide the best value of care

EvidenceCare is a unique type of clinical decision support system (CDSS) with its EHR-integrated and content-agnostic platform that empowers better care decisions by improving clinical workflows.

Founded in response to the professional experience of emergency physician Dr. Brian Fengler, the platform provides clinicians with evidence-based insights and measurable outcomes that improve hospital margins.

Based in Nashville, Tennessee, EvidenceCare is a 2x honoree of the INC 5000 list of fastest growing companies, a 2x Fierce Healthcare Best Product winner, and one of Modern Healthcare's Best Places to Work in Healthcare.

Doctors can't change their clinical decisions after they're done with their patient interactions. Real-time integration in the EHR allows decisions to be made at the point of care.

Real-time utilization insights as opposed to all others which are focused on retrospective reporting